Organization Active NPI

Wellcomemd Richmond Clinic Inc

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1154832582
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101102633 Issued in VA
Legal business name
WELLCOMEMD RICHMOND CLINIC INC
Practice address
2500 Gaskins Rd Ste a
Richmond, VA 23238-1480
Phone
(804) 774-7099
Fax
(804) 528-5864
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Neal H Carl, MD
Title
Physician
Phone
(804) 774-7099

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101102633 VA Primary
Primary Care Clinic/Center 261QP2300X 0101102633 VA

Addresses

Primary practice location

2500 Gaskins Rd Ste a
Richmond, VA 23238-1480

Mailing address

2500 Gaskins Road
Suite a
Richmond, VA 23238
Phone (804) 774-7099

Other identifiers 2

IdentifierTypeStateIssuer
7836242OtherVAAETNA
200044896220OtherVACIGNA

Other names 1

  • VirtuaMD Concierge Medical Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171114000422 VA Part B Supplier - Clinic/Group Practice 1052677754 Receives reassigned benefits from 4 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

2500 Gaskins Rd
Richmond, VA 23238

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1154832582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GASKINS ROAD",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23238",
            "telephone_number": "804-774-7099",
            "fax_number": "804-528-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GASKINS RD STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381480",
            "telephone_number": "804-774-7099",
            "fax_number": "804-528-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCOMEMD RICHMOND CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CARL",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "804-774-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101102633",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101102633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7836242",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "200044896220",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VirtuaMD Concierge Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.